KURT WOODRUFF SPROUL PCA, APCC, ACMHC
NPI 1689174757
Counselor - Mental Health in Portland, OR

Active since February 15, 2018PECOS Enrolled
MINDFUL THERAPY GROUP, 5440 SW WESTGATE DR, SUITE 350, PORTLAND, OR 97239(425) 678-6463 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 12, 2025, Jan 7, 2025, Dec 31, 2024 and 4 more (7 updates tracked since 2018).

About Kurt Woodruff Sproul Pca, Apcc, Acmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KURT WOODRUFF SPROUL PCA, APCC, ACMHC (NPI 1689174757) is an individual mental health provider in Portland, Oregon, licensed in Oregon (C10862) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1689174757
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKURT WOODRUFF SPROULCredential: PCA, APCC, ACMHC
Location AddressMINDFUL THERAPY GROUP, 5440 SW WESTGATE DR, SUITE 350Portland, OR 97239
Mailing Address2355 State St Ste 101Salem, OR 97301-4541 · (323) 636-6135 · Fax (801) 206-3869
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 15, 2018
Last NPPES UpdateNovember 12, 20257 updates tracked since enumeration
NPPES CertifiedNovember 12, 2025
NPI 1689174757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in OR · C10862 Licensed in UT · 13147561-6009
MINDFUL THERAPY GROUP, Portland, OR 97239

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kurt Woodruff Sproul Pca, Apcc, Acmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658864541
PECOS Enrollment IDI20251129000231
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kurt Sproul's NPI number?

The NPI number for Kurt Sproul is 1689174757. It was assigned to this individual provider in the NPPES registry on February 15, 2018.

Where is Kurt Sproul located?

Kurt Sproul practices at Mindful Therapy Group 5440 SW Westgate Dr, Suite 350, Portland, OR 97239. The listed phone number is (425) 678-6463.

What is Kurt Sproul's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kurt Sproul enrolled in Medicare?

Yes. Kurt Sproul is registered in the Medicare PECOS enrollment system.

What insurance does Kurt Sproul accept?

Health plans from Moda Health Plan, Inc. list Kurt Sproul as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kurt Sproul was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.